TY - CHAP M1 - Book, Section TI - Spongiotic Dermatitis A1 - Jhorar, Preeti A1 - Murphy, Michael A1 - Grant-Kels, Jane M. A2 - Barnhill, Raymond L. A2 - Crowson, A. Neil A2 - Magro, Cynthia M. A2 - Piepkorn, Michael W. A2 - Kutzner, Heinz A2 - Desman, Garrett T. Y1 - 2020 N1 - T2 - Barnhill's Dermatopathology, 4e AB - The term “spongiotic dermatitis” refers to a large group of inflammatory disorders that share the histopathologic finding of spongiosis, characterized by impairment of cohesion between epidermal keratinocytes and intercellular edema (Fig. 2-1 and Table 2-1). Spongiosis is the hallmark of eczematous dermatitides but can be seen in a variety of other skin conditions (Table 2-2). Both T lymphocytes and keratinocytes are thought to play major roles in the pathogenesis of spongiotic dermatitis.1,2 Skin-infiltrating T cells damage the epidermis by releasing pro-inflammatory cytokines and induce keratinocyte apoptosis through “killer molecules.”1,2 There is subsequent cleavage of adhesion molecules, including E-cadherin, on keratinocytes.1,2 Accumulation of extracellular fluid results in widening of the spaces between keratinocytes, causing the epidermis to resemble a sponge histologically.1,2 SN - PB - McGraw Hill Education CY - New York, NY Y2 - 2024/04/19 UR - dermatology.mhmedical.com/content.aspx?aid=1178387325 ER -